Stroke Clinical Trial
Despite the advances in stroke rehabilitation, post-stroke upper extremity impairment is
still a major challenge. Increasing evidence can be found supporting stimulation of the
afferent receptor enhances neuroplasticity in the brain. Studies have suggested multisensory
stimulation could promote motor learning by re-establishing the disrupted sensorimotor loop
due to stroke and enhance neuroplasticity.
The objective of the study was to examine the effect of multisensory stimulation on
upper-extremity motor recovery and self-care function in stroke patients.
Stroke patients referred to occupational therapy division of geriatric day hospital will be
recruited and randomly assigned to a multisensory therapy group or a conventional training
group. The Multisensory therapy group received 12 weeks (two sessions/ week; 90
minutes/session) training. Each session began with 15 minutes of sensory stimulation (cold
and vibration), 45 minutes of motor training and 30 minutes of self-care training. The
conventional training group included 12 weeks (two sessions/ week; 90 minutes/session)
training. Each session included 60 minutes of upper extremity motor practice and 30 minutes
of self-care training.
Outcome measures included: Brunnstrom's stage, Fugl-Meyer Assessment Scale and Functional
Test for the Hemiplegic Upper Extremity were used for upper limb motor control and function;
and Manual muscle testing was used for muscle strength. The modified Barthel Index was used
for self-care performance
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|---|---|---|---|
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